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I was born with a thyroid condition. i am 23 year old female. i did the other brand for a while, and made me tired, sad, and just made me feel hopeless. i am on spiriva 88mcg and although i sometimes feel sad, my weight is maintained, i’m able to work, and play with my 1 year old daughter, who thank god is healthy. finding the right dosage is so important and is a trial and error. if everything is good and you only have one symptom like …